Kassy Layne Hickman, AUDIOLOGIST
NPI 1063258150ActiveIndividual· Audiologist· Fredericksburg, VA
Audiologist (AUDIOLOGIST) in Fredericksburg, Virginia, trained at Ohio Medical University (class of 2024). Enrolled in Medicare as practitioner - qualified audiologist and practitioner - qualified audiologist.
Overview
| NPI | 1063258150 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUDIOLOGIST |
| Sole proprietor | No |
| NPI issued | Jul 8, 2024 |
| Last updated in NPPES | Jul 8, 2024 |
| Certified by provider | Jul 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 2205000007 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (VA); Practitioner - Qualified Audiologist (WV) |
|---|
Education and affiliations
| Medical school | Ohio Medical University |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Qualified Audiologist |
Medical group
- West Virginia University Medical CorporationMorgantown, WV · 1,980 clinicians
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